Licensee Name:PACIFIC GRAND PHARMACY AND SUPPLY
License Type:Supply Dealer
License Number:121767
Registry Number:CA 33624
Expiration Date:February 29, 2000
Issue Date:February 29, 1996
Address:1120 N PACIFIC AVE UNIT 1&2
City:GLENDALE
State:CA
Zip:91202
County:LOS ANGELES
Actions:No
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